| Title |
Using telehealth to support end of life care in the community: a feasibility study
|
|---|---|
| Published in |
BMC Palliative Care, November 2016
|
| DOI | 10.1186/s12904-016-0167-7 |
| Pubmed ID | |
| Authors |
Jennifer J. Tieman, Kate Swetenham, Deidre D. Morgan, Timothy H. To, David C. Currow |
| Abstract |
Telehealth is being used increasingly in providing care to patients in the community setting. Telehealth enhanced service delivery could offer new ways of managing load and care prioritisation for palliative care patients living in the community. The study assesses the feasibility of a telehealth-based model of service provision for community based palliative care patients, carers and clinicians. This study was a prospective cohort study of a telehealth-based intervention for community based patients of a specialist palliative care service living in Southern Adelaide, South Australia. Participants were 43 community living patients enrolled in the Southern Adelaide Palliative Service. To be eligible patients needed to be over 18 years and have an Australian modified Karnofksy Performance Score > 40. Exclusion criteria included a demonstrated inability to manage the hardware or technology (unless living with a carer who could manage the technology) or non-English speaking without a suitable carer/proxy. Participants received video-based conferences between service staff and the patient/carer; virtual case conferences with the patient/carer, service staff and patient's general practitioner (GP); self-report assessment tools for patient and carer; and remote activity monitoring (ACTRN12613000733774). The average age of patients was 71.6 years (range: 49 to 91 years). All 43 patients managed to enter data using the telehealth system. Self-reported data entered by patients and carers did identify changes in performance status leading to changes in care. Over 4000 alerts were generated. Staff reported that videocalls were similar (22.3%) or better/much better (65.2%) than phone calls and similar (63.1%) or better/much better (27.1%) than face-to-face. Issues with the volume of alerts generated, technical support required and the impact of service change were identified. The trial showed that patients and carers could manage the technology and provide data that would otherwise not have been available to the palliative care service. Australian New Zealand Clinical Trials Registry ACTRN12613000733774 registered on 02/07/2013. |
X Demographics
The data shown below were collected from the profiles of 32 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 7 | 22% |
| Australia | 7 | 22% |
| United States | 2 | 6% |
| Bangladesh | 1 | 3% |
| New Zealand | 1 | 3% |
| Unknown | 14 | 44% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 21 | 66% |
| Scientists | 7 | 22% |
| Practitioners (doctors, other healthcare professionals) | 4 | 13% |
Mendeley readers
The data shown below were compiled from readership statistics for 185 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Switzerland | 1 | <1% |
| Unknown | 184 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 26 | 14% |
| Student > Bachelor | 25 | 14% |
| Other | 18 | 10% |
| Researcher | 13 | 7% |
| Student > Ph. D. Student | 11 | 6% |
| Other | 38 | 21% |
| Unknown | 54 | 29% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 44 | 24% |
| Nursing and Health Professions | 39 | 21% |
| Psychology | 10 | 5% |
| Social Sciences | 8 | 4% |
| Unspecified | 4 | 2% |
| Other | 18 | 10% |
| Unknown | 62 | 34% |
Attention Score in Context
This research output has an Altmetric Attention Score of 23. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 September 2018.
All research outputs
#1,561,414
of 24,475,473 outputs
Outputs from BMC Palliative Care
#118
of 1,387 outputs
Outputs of similar age
#31,993
of 426,927 outputs
Outputs of similar age from BMC Palliative Care
#3
of 15 outputs
Altmetric has tracked 24,475,473 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 93rd percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,387 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.4. This one has done particularly well, scoring higher than 91% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 426,927 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 92% of its contemporaries.
We're also able to compare this research output to 15 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 86% of its contemporaries.